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Individual

KERRY G PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-C

Contact information

Practice address
106 N 1ST ST, ELMA, WA 98541
(360) 482-2851
(844) 315-8272
Mailing address
P.O. BOX 803, ELMA, WA 98541
(360) 482-2851
(844) 315-8572

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60443753
WA

Other

Enumeration date
02/10/2014
Last updated
08/15/2022
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